Gold Star Pediatrics PA

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

Legal business name

GOLD STAR PEDIATRICS PA

Practice address

3149 Bobcat Village Center Rd # 14
North Port, FL 34288-8974

Phone

(732) 309-1292

NPI assigned

Mar 3, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jignesh Bhogilal Patel, MDNPI 1003082280

Title

President

Phone

(941) 266-5629

Specialties & licenses 2

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gold Star Pediatrics PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gold Star Pediatrics PA

  • Pediatrics Physician
  • North Port, FL
  • NPI 1881571578
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gold Star Pediatrics PA

  • Pediatrics Physician
  • North Port, FL
  • NPI 1881571578
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jignesh Bhogilal Patel, M.D.

  • Neonatal-Perinatal Medicine Physician
  • North Port, FL
  • NPI 1003082280
  NPD Authorized official
• Jamie C Jennings, CPNP-AC

  • Critical Care Pediatric Nurse Practitioner
  • North Port, FL
  • NPI 1053788752
  NPD (past)
• Miranda Quinton, FNP-C

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1447090006
  NPD (past)
• Jennie Schroeder, APRN

  • Family Nurse Practitioner
  • North Port, FL
  • NPI 1003695214
  NPD (past)
• Patricia Alsgaard, A.R.N.P.

  • Neonatal Nurse Practitioner
  • Lansing, MI
  • NPI 1336382993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673654400000",
    "number": "1669129342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 LAKE BREEZE CT",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342918023",
            "telephone_number": "732-309-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 BOBCAT VILLAGE CENTER RD # 14",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342888974",
            "telephone_number": "732-309-1292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Port Charlotte",
            "state": "FL",
            "postal_code": "339525000",
            "country_code": "US",
            "telephone_number": "941-266-5629",
            "fax_number": "941-200-4242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLD STAR PEDIATRICS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_middle_name": "BHOGILAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-266-5629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1003082280",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281244400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Michelle Glenn
• Brittany Glidewell
• Desiree Glidewell
• Global Physician Network LLC Series I
• Theresa Marie Gloster, CRNA
• Gold Star Pediatrics PA
• Jeronda Golston
• Sarah V Gomez
• Eusebio P. Gonzales, M.D.
• Taiyana Gonzalez Gonzalez

• Neonatal-Perinatal Medicine Physician in North Port, FL
• Providers in North Port, FL by specialty
• Neonatal-Perinatal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.